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Organization

WEST CENTRAL OH CANCER CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RENA BETH ZIMMERMAN M.D. (M.D.)
(419) 996-5063
Entity
Organization

Contact information

Practice address
803 W MARKET, LIMA, OH 45805
(419) 996-5063
(419) 996-5502
Mailing address
PO BOX 26706, SECTION 95, OKLAHOMA CITY, OK 73126-0706
(419) 996-5612

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35053193Z
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141597
OH
Enumeration date
04/26/2006
Last updated
03/10/2008
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